I was talking to my family doctor about treatment for the nerve pain I am having in the right lower jaw and cheek. The pain is not constant but at times is very severe and the narcotics don't help. He said an appointment with a neurologist would take about 9 months and treatment another 9 months. So, I asked if there was any other option and he suggested I increase my dose of Gabapentin. The effect of Gabapentin is to shut down nerve transmission and is useful for epilepsy and neuropathic pain. In high doses the side effects are sleepiness, being dizzy and fatigued. It's too soon to tell but it seems to be helping.
Cheryl has a simpler diagnosis and believes it is just a simple case of Pain-in-the Neck and the solution is to smarten up. Maybe I'll give that a try if the Gabapentin doesn't work.
My feeding problems have mostly been resolved with help from my excellent dietician, Nadia. She has changed me to a four times per day feeding and this means each meal is a size my stomach can handle. It seems that more than 400ml causes bloating and slower digestion. The only problem with four feeds per day is that I have little free time. Each feed take about 90 minutes and there is prep and clean up time as well.
Some good news about swallowing is that my ability seems to be improving. I can now drink about 100ml per minute without aspirating. This rate is still slow but much faster than a month ago.
More good news is that today despite it being only 6 deg C I went for a ride on my new motorcycle! I only did 42km because of the cold. My orange suit is certainly not cool but it was my rain gear on top of my regular leather to stop the cold wind. It will take some getting used to compared to my last motorcycle since this one is a lot faster.
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